Where food is no longer eaten for positive reasons like pleasure and the maintenance of physical health. But used as a weapon to avoid negative experiences and a way of coping with problems. New Zealand research of 15 year olds showed that although 75% were healthy weights 68% of all girls wanted to lose weight. 54% of girls reported that they are dieting and have done so since they were about 13 years old.
An eating disorder is present when a person:
· Is constantly thinking about eating or not eating
· feels out of control around food
· Uses food to meet needs other than hunger
· Becomes obsessed about food, weight and body shape.
It can affect anyone of any weight.
The four main types are as follows:
· Anorexia Nervosa
· Bulimia nervosa
· Bing Eating
The high risk groups are young women with a low or high BMI who have weight concerns, menstrual disturbance, GI disorders or psychological problems.
DSM-IV Anorexia Nervosa
A. Low weight of less than 85% of the expected weight for their age and height.
B. Intense fear of weight gain or becoming fat.
C. Body image disturbances such as becoming unduely influenced by body weight/shape on self-evaluation and denying the seriousness of low weight.
Objective and eating more than most people would and lacking control
Subjective: Eating more than most people would (perceived only by patient) and lack of control.
Anxiety disorders (OCD)
Family relationship problems
Signs to watch for:
Dramatic weight loss
Wearing loose, bulky clothes
Preoccupation with food-dieting, counting calories
Refusal to eat certain foods-fats/ carbs
Avoiding meal times